Physician
Southwest Ohio Ent Specialists INC
Southwest Ohio Ent Specialists INC was paid $3.41M by Medicaid between Jan 2018 and Dec 2024, across 24 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 59% of everything it billed.
33Billing provider infoSOUTHWEST OHIO ENT SPECIALISTS INC
DAYTON, OH 45402
DAYTON, OH 45402
33aNPI1255301560assigned 01/26/2006
33bProvider typeOtolaryngology Physician
28Total paid$3.41M
24GClaims79,139
24DCodes billed24
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Otolaryngology Physician providers in Ohio
Rank by total paid#3 of 41
Median peer was paid$62K
This provider vs. median55×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 14,664 | $599K | |
| 2019 | 13,035 | $557K | |
| 2020 | 9,463 | $398K | |
| 2021 | 10,144 | $425K | |
| 2022 | 10,430 | $471K | |
| 2023 | 11,841 | $523K | |
| 2024incomplete | 9,562 | $435K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 59% | 38,145 | 35,042 | $2.02M |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 15% | 7,060 | 6,516 | $499K |
| 99243 | 5.9% | 3,755 | 3,668 | $201K | |
| 92567 | 4.6% | 14,415 | 13,340 | $156K | |
| 92557 | 3.9% | 5,108 | 4,620 | $132K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 2.8% | 2,258 | 2,048 | $95K |
| 31579 | 1.5% | 567 | 520 | $52K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.4% | 1,502 | 1,365 | $48K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.3% | 628 | 589 | $44K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 1.0% | 435 | 429 | $35K |
| 31575 | <1% | 627 | 570 | $33K | |
| 95117 | <1% | 3,095 | 1,120 | $27K |
12 more codes
| 69436 | Tympanostomy (requiring insertion of ventilating tube), general anesthesia | <1% | 111 | $17K |
| 92507 | Treatment of speech, language, voice, communication, and/or auditory processing disorder | <1% | 378 | $14K |
| 31231 | <1% | 141 | $11K | |
| 92524 | <1% | 201 | $9K | |
| 99205 | Prolong outpt/office vis | <1% | 75 | $8K |
| 92552 | <1% | 386 | $4K | |
| 95165 | Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials | <1% | 27 | $3K |
| 69210 | <1% | 56 | $1K | |
| 92579 | <1% | 51 | $1K | |
| 92556 | <1% | 72 | $901.05 | |
| 92555 | <1% | 28 | $284.54 | |
| 95004 | Percutaneous tests with allergenic extracts, immediate type reaction | <1% | 18 | $112.93 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialYOUNG, DANIEL (BUSINESS MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Performance Therapy LLC | Philadelphia, MS | $4.03M |
| Dan Young Anesthesia PLLC | Rockville, MD | $67K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.